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Comparison of the EUCAST and CLSI Broth Microdilution Methods for Testing Isavuconazole, Posaconazole, and Amphotericin B against Molecularly Identified Mucorales Species

  • Anuradha Chowdhary*
  • , Pradeep Kumar Singh
  • , Shallu Kathuria
  • , Ferry Hagen
  • , Jacques F Meis
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

We compared EUCAST and CLSI antifungal susceptibility testing (AFST) methods for triazoles and amphotericin B against 124 clinical Mucorales isolates. The EUCAST method yielded MIC values 1- to 3-fold dilutions higher than those of the CLSI method for amphotericin B. The essential agreements between the two methods for triazoles were high, i.e., 99.1% (voriconazole), 98.3% (isavuconazole), and 87% (posaconazole), whereas it was significantly lower for amphotericin B (66.1%). Strategies for harmonization of the two methods for Mucorales AFST are warranted.

Original languageEnglish
Pages (from-to)7882-7
Number of pages6
JournalAntimicrobial Agents and Chemotherapy
Volume59
Issue number12
DOIs
Publication statusPublished - Dec 2015
Externally publishedYes

Keywords

  • Amphotericin B/pharmacology
  • Antifungal Agents/pharmacology
  • Humans
  • Microbial Sensitivity Tests/methods
  • Mucorales/classification
  • Mucormycosis/drug therapy
  • Nitriles/pharmacology
  • Pyridines/pharmacology
  • Species Specificity
  • Triazoles/pharmacology
  • Voriconazole/pharmacology

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